Individual
AMANDA JASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
11311 MCCORMICK RD, SUITE 350, HUNT VALLEY, MD 21031-1004
(443) 849-8200
Mailing address
11311 MCCORMICK RD, SUITE 350, HUNT VALLEY, MD 21031-1004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3807
MD
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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